Beverly Griffor, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301019077 Issued in MI

Practice address

1851 Washtenaw Rd
Ypsilanti, MI 48197-1702

Phone

(734) 992-5251

NPI assigned

Feb 10, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Research Institute for Forensic Neuropsychology

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ypsilanti, MI
  • NPI 1407454382

  Clinical

  NPD Authorized official
• Lauren V. Kachorek, PH.D., PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1003639634
  NPD (past)
• Lauren V. Kachorek, PH.D., PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1417816232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1417456930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971702",
            "telephone_number": "734-922-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WASHTENAW RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971702",
            "telephone_number": "734-992-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFOR",
        "first_name": "BEVERLY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301019077",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351004336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Greshock, DNP, CRNA
• Melissa Jeanne Grey, PHD, LP
• Andrew Jared Grier, LMSW
• Abrean Griffin
• Matthew C Griffin, D.O.
• Brittany Griggs
• Jameesha Griggs
• Henry Grimsby
• Leelawadee Grimsby
• Kristen Grix

• Clinical Psychologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.